| NPI | 1871398743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2016044707) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MO 2016044707) |
| Enumeration Date | 2025-02-15 |
| Last Update Date | 2025-02-15 |